| NPI | 1013979178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX L5653) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L5653) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-07-15 |